| NPI | 1659589554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TX P7442) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MI 4301089832) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-11-13 |